PACIFIC NORTHWEST RENAL SERVICES, L.L.C. (NPI# 1164534061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164534061 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. |
| Other Organization Name | PNRS EASTERN OREGON DIALYSIS CLINIC |
| Practice Address |
10601 S Walton Rd La Grande OR 97850-8488 |
| Practice Telephone | 5416638420 |
| Practice Fax Number | 5416638421 |
| Mailing Telephone | 5416638420 |
| Mailing Fax Number | 5416638421 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999303 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PNRS EASTERN OREGON DIALYSIS CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855696 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 3921 Sw 13th Ave, Battle Ground, WA 98604-2807 | 2014-01-21 |
| 1992895494 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 345 Se Norton Ln, Mcminnville, OR 97128-8480 | 2006-10-13 |
| 1083716401 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 15201 Nw Greenbrier Pkwy, Beaverton, OR 97006-5771 | 2006-09-05 |
| 1154423317 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 9105a Ne Hwy. 99, Ste. 102, Vancouver, WA 98665 | 2006-09-01 |
| 1073625976 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 632 Marine Dr, Astoria, OR 97103-5838 | 2006-08-31 |
| 1437261336 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 13560 Se 97th Ave, Clackamas, OR 97015-7691 | 2006-08-31 |
| 1528170420 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 7780 Sw Mohawk St, Tualatin, OR 97062-9191 | 2006-08-31 |
| 1083726988 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 | 2006-08-31 |
| 1891807798 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 | 2006-08-31 |
| 1255443156 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2824 Ne Wasco St, Portland, OR 97232-1772 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. | 920 Winter Street, Tax Department, Waltham, MA 02451 |
| Washington State Corporations | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. | 920 Winter St, Waltham, MA 02451-1521 |
| Street Address |
10601 S WALTON RD |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-8488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652569 | Harpett Dialysis, LLC | Clinic/Center | 61280 Se Coombs Pl, Bend, OR 97702-3704 | 2019-04-10 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1528529989 | Pacific Dialysis LLC | Clinic/Center | 1935 Thompson Rd, Coos Bay, OR 97420-2040 | 2019-03-28 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1922522432 | Garson Dialysis, LLC | Clinic/Center | 6828 Se Foster Rd, Portland, OR 97206-4546 | 2017-07-27 |
| 1407378532 | Rose City Dialysis LLC | Clinic/Center | 7474 Ne M L King Blvd, Portland, OR 97211-2828 | 2017-07-11 |
| 1215397534 | Rose City Dialysis, LLC | Clinic/Center | 4905 Ne Ml King Blvd, Portland, OR 97211-3353 | 2016-02-29 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1821463555 | Total Renal Care Inc | Clinic/Center | 421 Lancaster Dr Ne, Salem, OR 97301-4729 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.